Information Collection

Harmful Algal Bloom-related Illness Surveillance System

IC 218236 under ICR 202203-0920-001 · OMB 0920-1105.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1105 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Att. C - OHHABS Data Elements.xlsx	Other-EXCEL Spreadsheet
Att. C - OHHABS Data Elements.xlsx	Other-EXCEL Spreadsheet

IC Title:

Harmful Algal Bloom-related Illness Surveillance System

Agency IC Tracking Number:

0920-1105

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-EXCEL Spreadsheet			Att. C - OHHABS Data Elements.xlsx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 57

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	228	57	171
Annual IC Time Burden (Hours)	76	19	57
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.